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WOULD I WANT TO WORK THERE?Stitching a successful health precinct together

European Healthcare Design Conference11 - 13 June 2018 London

Presented by:Sheree Proposch, Principal

1Fiona Stanley Hospital, Perth. Photography by Peter Bennetts.

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Talk structure

123456

the health industry

knowledge clusters - quality of place

2 x case studies

the challenge

practical suggestions

references

2Fiona Stanley Hospital, Perth. Photography by Peter Bennetts.

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1.0 The health industry

economicdemographic disease

digital technologies

pharmaceutical

shortfall of

healthcare workers

hospital staff account for 70% of

hospital costs

in the EU, more doctors and nurses move to

another country for work than any other

regulated profession

the top destination countries for EU doctors

and nurses: Australia, UK, USA, Germany,

Canada

increases in demand increases in productivity

Deloitte

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1.1 Global environment

Economic drivers: _knowledge economy - hospitals are a key component

Physical drivers: _polycentric cities - based on employment hubs eg hospitals

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1.2 Competition for key health talent

will i go to london .... toronto .... or glasgow?

will i go to boston .... melbourne .... or new york?

will i go to oslo .... singapore .... or manchester?

professional and career development

team culture

care quality and diversity

terms and remuneration

built environment

lifestyle

✓

✓

✓

✓

?

?

Deloitte Brookings Institution

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building doctor-centred

pathological/ disease based

focus:

driver:

approach:

campus patient-centred

evidence based design

precinct people-centred

engagement and collaboration

1.3 Evolution of hospital design

BUILDINGdoctor centred CAMPUS

patient centred

PRECINCTpeople centred

06 xxxxxxxxxxx

BUILDINGdoctor centred CAMPUS

patient centred

PRECINCTpeople centred

06 xxxxxxxxxxx

BUILDINGdoctor centred CAMPUS

patient centred

PRECINCTpeople centred

06 xxxxxxxxxxx

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_hospitals are major landowners and placemakers - shaping our urban environment

_hospitals are a key employment hub

_hospitals + universities - strong anchors for knowledge clusters, driving research and new products and services

2.0 Health Precincts and Knowledge Clusters

Victorian Comprehensive Cancer Centre, Melbourne. Photography by Peter Bennetts.

Brookings Institution

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Brookings Institution outlines 5 critical features1 Critical mass2 Innovation capacity3 Diversity and inclusion4 Quality of place5 Leadership

2.1 Knowledge Clusters - critical features

Brookings Institution

Royal Park Nature Playground

Town Hall Square, Solingen, Germany. Photography by atelier2.

Loop bench by Outsider

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2.2 Quality of place goals

1 precinct connectivity _walkability _high speed fibre

2 proximity and mixing _variety of building uses _ground floor activation _neighbourhood amenities _public spaces _population density to create a ‘buzz’ _shops, cafes, bars, restaurants nearby _co-working and small business spaces nearby

3 public realm _diverse _accessible _community engagement

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2.3 Quality of place barriers

4 impediments to overcome _land zoning driving unwanted outcomes _existing buildings and roads that inhibit connectivity _land use or ownership that is counter to the precinct objectives

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_mature _1848

_new _2014

3.0 Two case studies

23.43°

17 hours to London

21 hours to N

ew York

Murdoch Precinct

Parkville Precinct

PERTH

MELBOURNE

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Parkville Precinct

3.1 Scale comparison of precinct footprints

Murdoch Precinct

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park

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royal childrens hospital

victorian comprehensive cancer centre

royal womens hospital

royal melbourne hospital

3.2 Parkville Precinct - CBD proximity mature

1km

Melbourne CBD

Parkville Precinct

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3.3 Parkville Precinct - partners mature

500m

Royal Women’s Hospital

Royal Children’s HospitalMurdoch Children’s Research Institute

Royal Melbourne Hospital

University of Melbourne

Victorian Comprehensive Cancer Centre

Walter and Eliza Hall Institute

St Vincent’s Hospital

CSL

Melbourne Brain Centre

Bio21

Orygen

Royal Victorian Eye and Ear Hospital

Pharmaceutical Science, Monash University

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3.4 Parkville Precinct - access mature

500m

15 min walk

10 min walk

5 min walk

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st john of god hospital

fiona stanley hospital

3.5 Murdoch Precinct - CBD proximity new

1km

Murdoch Precinct

Perth CBD

12km

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3.6 Murdoch Precinct - partners new

500m

Murdoch University

St John of God Hospital

South Metropolitan TAFE

Fiona Stanley Hospital

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3.7 Murdoch Precinct - access new

500m

15 min walk

10 min walk

5 min walk

Murdoch Train and Bus Station

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3.8 Quality of place

Murdoch Precinct:new

_fiona stanley hospital_st john of god hospital

_transporttrain, bus

_housinginsufficient variety within 5km, new housing in regenerated peripheral areas underway

_open space university fields and surrounding bushland

_connections strong connection to precinct university

_retail 2 shopping centres within 3km of the centrenew development planned

_density consolidated precinct surrounded by housing

_public realm extensive and varied native landscape

Parkville Precinct:mature

royal melbourne hospital_royal womens hospital_

victorian comprehensive cancer centre_royal childrens hospital_

transport_ tram, bus, train underway

housing_insufficient variety within 5km, new housing in

regenerated area in adjacent precinct underway

open space_large inner city parklands adjacent

connections_ strong precinct relationships with university and

research institutes

retail_ CBD and high street shopping within 2km of the

precinct centre

density_ dense precinct centre with 3 outer clusters

separated by parks

public realm_ european landscaped boulevard and park

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a newly built peri-urban precinct of healthcare and university buildings surrounded by low rise dwellings and bushland

a mature precinct of long established world-renowned healthcare and

biomedical institutions in a thriving inner city suburb

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4.0 The challenge

_attracting and retaining talent in a globally competitive environment

_creating an environment for staff to be the best they possibly can

_treating your healthcare facility as a significant contributor to the urban fabric of your precinct

Royal Childrens Hospital, Parkville. Photography by John Gollings.

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Collateral

Melbourne Biomedical (Parkville) Precinct is Australia’s, and one of the world’s, leading biomedical centres. The precinct delivers outstanding healthcare, education and world-class research. It is home to some of the biggest global names in the biomedical sector.

Melbourne Biomedical (Parkville) Precinct’s cutting edge research and discoveries have resulted in major advances in patient care, disease treatment breakthroughs and development of devices, technologies and medicines that have saved and improved lives in Victoria, Australia and around the world.

- MBP Strategic Plan 2018

Capital

5.0 Practical suggestions

BUSINESS CASE

BRIEF

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5.1 Impact on design approach

disciplines: _urban design _architecture _landscape design _interior design _retail _wayfinding _transport _experience and activation

funding: _capital _operational _local government _state government _federal government _road network _public transport _neighbours _philanthropy

governance: _ownership _approvals _legislation _risk _maintenance

$ £ €

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5.2 Attraction and retention influences

work: _mixing with other talent _end of trip facilities _a vibrant neighbourhood _well-connected to public transport _a healthy workplace _variety of retail and food offerings _access to nature nearby _opportunity for training _strong brand _strong leadership

live: _housing diversity _retail _schools _childcare

play: _art galleries _sport fields _nature - parks, beach, forest _transport _cinemas _theatres _airport _markets _events _ski fields _heritage _bike paths _festivals

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5.3 Quality of place as a differentiator

_engage early and wider to co-ordinate shared amenity

_engage a more diverse range of design consultants

_give greater consideration to the spaces at the edges of and between buildings

_activate the ground floor

_foster human-centred design

... to create the environment that will attract and retain exceptional healthcare talent

Royal Childrens Hospital, Parkville. Photography by Shannon McGrath.

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6.0 References and further reading

_Brookings Institution, Washington, USA

_HASSELL: Knowledge and Strategy Research Papers

_Property Council of Australia_The Business of Cities, Australia

_Victorian State Government, Australia

_West Australian State Government, Australia

_Design Council, UK

_Deloitte Centre for Health Solutions

_New London Architecture, UK

_Grattan Institute, Australia

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